Insights

CMS Revises SOM Manual For Consistency With Program Integrity Regulations

Posted on Tuesday, September 15, 2015 9:19 AM

CMS has revised section 2185 of the State Operations Manual (SOM) to specify when an existing Home Health Agency (HHA) intends to move from its surveyed and certified location to a new site or location that is within the current approved geographic area, it notifies its Medicare Administrative Contractor (MAC) within 90 days of the move. Before this change, the SOM required home health agencies to notify their MAC within 30 days. The revision to the SOM is consistent with the Medicare's provider enrollment regulations that require a 90 day notification for changes in location for HHAs.
If an existing HHA intends to move from its location to a new site or location that is within the current approved geographic area, the agency notifies its MAC within 90 days of the move, and submits an amended 855A. The MAC reviews this information and makes a recommendation to the Regional Office (RO); the RO then makes the final decision to approve the change of the location. If a decision can be made on the written application and supporting documentation, CMS may grant or deny an approval without requiring an onsite survey.
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